Average Medicaid Emergency Room Visit Payments in Denton, TX: $91.32
Avg. Paid
$91.32
Range
$6.58 – $151.30
Total Claims
53,620
Providers
31
Typical Payment Range
Typical Medicaid Emergency Room Visit payments fall between $56.00 and $114.21 per claim (median: $78.41). The top 10% of payments exceed $164.43.
Based on per-provider averages across all Medicaid claims in this category.
Emergency department visits for urgent and emergency medical care. Costs vary significantly based on severity level and treatments needed.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Emergency Room Visit in Denton, TX
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
An T Nguyen
3000 N Interstate 35 |
$81.57 | 8,411 | 8,045 |
|
Manisha Gupta
3535 S I-35 E |
$134.63 | 7,168 | 6,864 |
|
Texas Health Presbyterian Hospital Denton
3000 North I 35 |
$58.70 | 5,804 | 5,377 |
|
Monica Mikkilineni
3535 S Interstate 35 E |
$151.30 | 5,052 | 4,860 |
|
Columbia Medical Center Of Denton Subsidiary Lp
3535 S I-35 E |
$44.91 | 4,846 | 4,325 |
|
Jimmy N Harris
3000 N Interstate 35 |
$80.52 | 4,241 | 4,065 |
|
James Stephen Jones
1605 N Locust St |
$111.59 | 2,538 | 2,293 |
|
Lisa M Kohler
3535 S I35E |
$120.19 | 2,172 | 2,080 |
|
Glenn Michael Calabrese
3535 S I-35 E |
$55.00 | 2,127 | 2,059 |
|
Kary Neil Holt
3535 S I-35 E |
$69.60 | 2,056 | 1,708 |
|
Jacob P Mumm
1332 Teasley Ln Ste 180 |
$35.31 | 1,848 | 1,364 |
|
Denny Thomas
1725 S Interstate 35 E Ste 101 |
$122.87 | 1,724 | 1,711 |
|
Thomas J Olmsted
3535 S Interstate 35 E |
$117.39 | 1,499 | 1,379 |
|
Timothy J King
505 S Locust St |
$68.56 | 926 | 863 |
|
Nasiha Ahmad
2535 Charlotte St Ste 101 |
$108.67 | 858 | 794 |
|
Miles S Raizada
1332 Teasley Ln |
$95.61 | 438 | 426 |
|
Elizabeth R Seymour
3303 Colorado Blvd |
$48.65 | 276 | 198 |
|
Marc A. Wilson
323 N Bonnie Brae Street |
$65.67 | 250 | 246 |
|
James Donovitz
1513 N Locust St |
$96.04 | 212 | 212 |
|
Mustafa Hussain
3201 Colorado Blvd Ste 101 |
$113.24 | 205 | 199 |
|
Decarlo Noble
2435 W Oak St Ste 101 |
$30.70 | 187 | 161 |
|
Faisal Saeed
3200 Colorado Blvd Ste 200 |
$79.95 | 159 | 85 |
|
Shirley Ann Marion
2805 S Mayhill Rd |
$22.18 | 113 | 112 |
|
Justin Robert Northeim
3535 S Interstate 35 E |
$79.89 | 105 | 99 |
|
Carly Pfeiffer
4600 Teasley Ln |
$68.83 | 91 | 87 |
|
Janice Hill
3537 S I35 E |
$6.58 | 91 | 32 |
|
Qasim Sajawal
3535 S Interstate 35 E |
$78.35 | 78 | 28 |
|
Mahnaz Sameeha Rahman
2665 Scripture St |
$40.91 | 47 | 46 |
|
Karen Latour Evans
2530 Scripture St |
$99.09 | 43 | 41 |
|
Anand C Patel
3323 Colorado Blvd Ste 105 |
$94.96 | 29 | 16 |
|
Chevelta A Bostick-Smith
2805 S Mayhill Rd |
$29.22 | 26 | 26 |
What to Expect: Emergency Room Visit
Emergency room visits begin with triage, where your condition is assessed to determine urgency. Wait times vary from minutes to hours depending on severity. You'll be seen by an ER physician who may order tests, imaging, or procedures. Costs include the facility fee, physician fee, and any tests or treatments. Most ER visits last 2-6 hours.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99284 | ER visit high severity | $118.05 | 170,705,529 | 95,397 |
| 99283 | ER visit moderate severity | $106.85 | 157,926,994 | 92,923 |
| 99285 | ER visit high sev w/threat | $136.01 | 111,002,396 | 79,755 |
| 99282 | ER visit low severity | $104.38 | 24,203,945 | 35,900 |
| 99291 | Critical care first 30-74 min | $120.48 | 10,902,745 | 28,076 |
| 99281 | ER visit minor problem | $92.67 | 8,018,086 | 9,327 |
| 99292 | Critical care each addl 30 min | $72.51 | 273,485 | 1,267 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Emergency Room Visit cost in Denton, TX?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Denton, TX is $91.32 per claim, based on 53,620 claims from 31 providers. Typical payments fall between $56.00 and $114.21. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Emergency Room Visit in Denton, TX?
There are 31 Medicaid providers offering Emergency Room Visit related services in Denton, TX according to public payment data.
What is the price range for Emergency Room Visit in Denton, TX?
Medicaid reimbursement for Emergency Room Visit in Denton, TX ranges from $6.58 to $151.30 per claim, with an average of $91.32. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
4,694,783 claims · 272 providers
Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
4,304,161 claims · 851 providers
Indianapolis, IN
Avg $116.65
4,172,341 claims · 898 providers
New York, NY
Avg $130.02
3,905,512 claims · 1591 providers
Columbus, OH
Avg $98.63
3,813,295 claims · 929 providers
Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Denton, TX
Office Visit
Avg $48.29
172,941 claims
Vaccines & Immunizations
Avg $5.76
116,549 claims
Dental Cleaning & Exam
Avg $41.82
110,727 claims
Blood Work & Lab Tests
Avg $17.63
98,105 claims
Urinalysis & Urine Tests
Avg $2.42
34,709 claims
Dental Filling
Avg $92.57
29,633 claims
Physical Therapy
Avg $36.74
25,840 claims
Speech Therapy
Avg $83.48
20,719 claims